Average Medicaid Physical Therapy Payments in Downers Grove, IL: $91.92
Avg. Paid
$91.92
Range
$11.82 – $178.33
Total Claims
11,946
Providers
12
Typical Payment Range
Typical Medicaid Physical Therapy payments fall between $19.59 and $59.02 per claim (median: $32.75). The top 10% of payments exceed $86.40.
Based on per-provider averages across all Medicaid claims in this category.
Physical therapy helps restore movement and function when someone is affected by injury, illness, or disability. Includes exercises, manual therapy, and modalities.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Physical Therapy in Downers Grove, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jennifer E Lowell
939 Burlington Ave |
$100.05 | 32 | 12 |
|
Maria Aquila
5100 Main St |
$16.63 | 127 | 42 |
|
Jana Abdullah
2901 Finley Rd Ste 102 |
$84.09 | 268 | 89 |
|
Community High School Dist 99
6301 Springside Ave |
$11.82 | 287 | 86 |
|
Alexandra Battistoni Russell
939 Burlington Ave |
$32.87 | 289 | 64 |
|
Matthew P. Smith
3450 Lacey Rd |
$20.99 | 326 | 151 |
|
Jennifer Gamblin
2901 Finley Rd |
$134.90 | 334 | 126 |
|
Sarah Alter
2901 Finley Rd Ste 102 |
$71.59 | 648 | 243 |
|
Downers Grove Grde Sch Dist 58
1860 63Rd St |
$17.31 | 666 | 244 |
|
Nicole Scott Sauer
2901 Finley Rd |
$97.83 | 2,019 | 719 |
|
Nicole Melfi
4115 Fairview Ave |
$178.33 | 2,036 | 618 |
|
Advocate Health And Hospitals Corporation
3815 Highland Ave |
$78.74 | 4,914 | 1,161 |
What to Expect: Physical Therapy
Physical therapy sessions typically last 30-60 minutes. Your first visit includes an evaluation where the therapist assesses your condition and creates a treatment plan. Sessions may include stretching, strengthening exercises, manual therapy, ultrasound, electrical stimulation, or heat/ice therapy. Most treatment plans involve 2-3 sessions per week for several weeks.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 97110 | Therapeutic exercises | $36.58 | 135,669,845 | 56,453 |
| 97530 | Therapeutic activities | $49.28 | 126,200,638 | 53,019 |
| 97140 | Manual therapy techniques | $19.55 | 45,357,985 | 26,587 |
| 97112 | Neuromuscular reeducation | $24.45 | 37,646,570 | 25,985 |
| 97535 | Self-care training | $72.94 | 21,914,840 | 7,790 |
| 97150 | Group therapeutic procedure | $58.98 | 10,916,093 | 6,468 |
| 97116 | Gait training therapy | $19.91 | 6,172,658 | 3,724 |
| 97161 | PT eval low complexity | $54.82 | 4,464,808 | 8,341 |
| 97162 | PT eval moderate complexity | $53.65 | 3,173,942 | 6,316 |
| 97124 | Therapeutic massage | $51.08 | 3,114,141 | 1,206 |
| 97113 | Aquatic therapy | $62.25 | 1,126,860 | 1,234 |
| 97165 | OT eval low complexity | $55.88 | 940,983 | 2,183 |
| 97164 | PT re-evaluation | $38.89 | 790,759 | 2,769 |
| 97163 | PT eval high complexity | $54.70 | 754,018 | 1,953 |
| 97166 | OT eval moderate complexity | $65.44 | 617,431 | 1,845 |
| 97167 | OT eval high complexity | $71.77 | 327,373 | 822 |
| 97168 | OT re-evaluation | $64.00 | 279,352 | 1,132 |
| 97542 | Wheelchair training | $30.27 | 252,292 | 394 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Physical Therapy cost in Downers Grove, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Physical Therapy in Downers Grove, IL is $91.92 per claim, based on 11,946 claims from 12 providers. Typical payments fall between $19.59 and $59.02. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Physical Therapy in Downers Grove, IL?
There are 12 Medicaid providers offering Physical Therapy related services in Downers Grove, IL according to public payment data.
What is the price range for Physical Therapy in Downers Grove, IL?
Medicaid reimbursement for Physical Therapy in Downers Grove, IL ranges from $11.82 to $178.33 per claim, with an average of $91.92. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Physical Therapy in Other Cities
Brooklyn, NY
Avg $36.50
12,339,597 claims · 1013 providers
New York, NY
Avg $39.29
5,089,280 claims · 527 providers
Phoenix, AZ
Avg $44.43
3,735,748 claims · 737 providers
Louisville, KY
Avg $91.42
3,677,814 claims · 454 providers
Miami, FL
Avg $41.78
3,470,277 claims · 402 providers
Bronx, NY
Avg $33.00
3,372,618 claims · 312 providers
Indianapolis, IN
Avg $33.23
2,875,864 claims · 404 providers
Las Vegas, NV
Avg $41.92
2,229,957 claims · 556 providers
Other Procedures in Downers Grove, IL
Office Visit
Avg $54.01
127,334 claims
Dental Cleaning & Exam
Avg $31.46
89,213 claims
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Avg $7.48
56,028 claims
Non-Emergency Medical Transportation
Avg $20.52
49,835 claims
Emergency Room Visit
Avg $74.43
43,407 claims
Nursing Facility Care
Avg $15.40
35,863 claims
X-Ray
Avg $5.11
30,751 claims
Speech Therapy
Avg $26.01
28,969 claims